Very superficial ultrasound-assisted lipoplasty for the treatment of axillary osmidrosis.

Abstract:

:Treatment of axillary osmidrosis has been mainly concerned with surgical excision of glandular tissues and involved major surgical procedures with high morbidities and many complications. Search for a less invasive procedure for axillary osmidrosis resulted in the use of liposuction. However, there have been controversies over the efficacy of this method. The problem was that liposuction could not effectively remove the apocrine gland located in the dermis and dermosubcutaneous junction. A high rate of residual malodor and dissatisfaction were reported. The author used ultrasound-assisted lipoplasty (UAL) in the very superficial plane to remove the apocrine gland located in the dermis and dermosubcutaneous junction. The purpose of this study was to prove the efficacy of the very superficial UAL (VSUAL) for the treatment of axillary osmidrosis. From December 1998 to December 1999, 21 consecutive patients underwent UAL in their axilla for axillary osmidrosis. The follow-up period ranged from 2 to 12 months (mean: 8 months). UAL was performed in the very superficial plane with an amplitude of 40%. The very superficial UAL (VSUAL) was done mainly in a withdrawing manner with the tip of the cannula against the skin. The UAL (VSUAL) was done aggressively until the skin changed slightly erythematous. The results were assessed subjectively and objectively, and classified as excellent, good, fair, and poor. Nineteen patients were graded as excellent and one patient as good. The total satisfaction rate was 95.2%. One patient complained of residual malodor in her left axilla. There were no cases of skin necrosis, hematoma, or seroma. Histology showed partial removal of the subcutaneous layer and deep dermis, and degenerative epithelial changes in the apocrine glands in the residual deep dermis. These microscopic findings meant near-total functional ablation of the apocrine gland in the axilla comparable to "flap-to-graft conversion" or surgical excision of axillary skin. The UAL (VSUAL) for axillary osmidrosis has the advantages of a high success rate with minimal complications. Rapid recovery, less restriction of movement, and tiny scars were other major benefits of this technique. Therefore, UAL (VSUAL) is a viable option for treatment of axillary osmidrosis.

journal_name

Aesthetic Plast Surg

authors

Park S

doi

10.1007/s002660010045

keywords:

subject

Has Abstract

pub_date

2000-07-01 00:00:00

pages

275-9

issue

4

eissn

0364-216X

issn

1432-5241

pii

10.1007/s002660010045

journal_volume

24

pub_type

杂志文章
  • Late hematoma after breast implantation.

    abstract::The case of a patient who experienced a late, spontaneous breast hematoma 9 years after augmentation mammaplasty in the absence of trauma or anticoagulation is reported. Although hematoma is not an uncommon complication in the immediate postoperative period, it is very rare as a late complication of breast implantatio...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-004-3120-8

    authors: Brickman M,Parsa NN,Parsa FD

    更新日期:2004-03-01 00:00:00

  • Body lift.

    abstract::After weight reduction by means of small intestine bypass, the patients have problems with cutis laxa of abdomen, femora, brachia, and mammae pendens. When all these problems are solved by reduction operations, the skin still does not fit. A new operation, "body lift," to resolve the remaining problem with respect to ...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/BF01570655

    authors: Jemec BI

    更新日期:1982-01-01 00:00:00

  • Patient dissatisfaction with results of technically satisfactory surgery.

    abstract::In many instances, successful cosmetic surgery may be followed by dissatisfaction by the patient. This results from many factors, broadly classified into three categories: those attributable to the patient; those attributable to the surgeon; and those resulting from interaction between the surgeon and the patient. Car...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/BF01981679

    authors: Macgregor FC

    更新日期:1981-01-01 00:00:00

  • Patient retention and replacement trends after saline breast implants: are deflations inflationary?

    abstract:BACKGROUND:This study aimed to examine serial operative trends with patients who have experienced surgical implant deflation. In addition, the economic impact of deflation on practice caseload was analyzed. METHODS:A retrospective review was conducted to examine patients who experienced deflation from 2000 to 2007. Pa...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-008-9235-6

    authors: Stevens WG,Pacella SJ,Hirsch E,Stoker DA

    更新日期:2009-01-01 00:00:00

  • From the panniculus carnosum (PC) to the superficial fascia system (SFS)

    abstract::There is a renewed interest in the anatomy of the subcutaneous fat. These studies have been stimulated by the recent clinical popularity of liposuction. Attention has been drawn to the superficial fascia system and to its role in wound healing and in skin contraction. What is the origin of this SFS? This article propo...

    journal_title:Aesthetic plastic surgery

    pub_type: 社论

    doi:10.1007/BF00636259

    authors: Fodor PB

    更新日期:1993-07-01 00:00:00

  • Advanced Techniques for the Use of Neurotoxins in Non-Surgical Facial Rejuvenation.

    abstract:BACKGROUND:Neurotoxins initially were used to treat hyperfunctional rhytids of the face, but now have been expanded to improve facial shaping, correct facial asymmetry and even improve skin texture and tone. METHODS:The clinical approach to non-surgical facial rejuvenation is approached into four anatomical regions: t...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-020-01691-5

    authors: Cohn JE,Greco TM

    更新日期:2020-10-01 00:00:00

  • The Reconstruction Choice for Giant Phyllodes Tumor of Breast: Bi-pedicled Deep Inferior Epigastric Perforator Flap.

    abstract:BACKGROUND:Phyllodes tumors of the breast are the rarest of all breast neoplasms. Giant phyllodes tumors (>10 cm) of the breast have been less discussed in the literature. Reconstruction of the large defect created after wide excision (safety margin >1 cm) is a challenge in these patients. We present one technique usin...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-017-0792-4

    authors: Fang CL,Hsu CH,Tu CW

    更新日期:2017-08-01 00:00:00

  • Aesthetic/Cosmetic Surgery and Ethical Challenges.

    abstract::Is aesthetic surgery a business guided by market structures aimed primarily at material gain and profit or a surgical intervention intended to benefit patients and an integral part of the health-care system? Is it a frivolous subspecialty or does it provide a real and much needed service to a wide range of patients? A...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00266-020-01821-z

    authors: Atiyeh BS,Rubeiz MT,Hayek SN

    更新日期:2020-08-01 00:00:00

  • Differences in horizontal, neoclassical facial canons in Chinese (Han) and North American Caucasian populations.

    abstract::To better our ability to analyze the facial disproportions of patients of Chinese ancestry, we compared the validity of four neoclassical canons of facial proportion in Chinese and North American Caucasians populations. We tested the frequency of four horizontal facial canons and their eight variations in 206 healthy ...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s002669900123

    authors: Wang D,Qian G,Zhang M,Farkas LG

    更新日期:1997-07-01 00:00:00

  • Pulsed acoustic cellular expression (PACE) reduces capsule formation around silicone implants.

    abstract:UNLABELLED:Capsular contracture remains a major complication after reconstructive or aesthetic breast augmentation. Formation of capsular fibrosis is a multifactorial process. An initial inflammatory reaction appears to be key to the development of capsular contracture. Recent studies have shown that pulsed acoustic ce...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-013-0235-9

    authors: Reichenberger MA,Heimer S,Lass U,Germann G,Köllensperger E,Mueller W,Hirsch T,Fischer S

    更新日期:2014-02-01 00:00:00

  • No-Drain Single Incision Liposuction Pull-Through Technique for Gynecomastia.

    abstract:BACKGROUND:Several different methods have been proposed for treatment of gynecomastia, depending on the amount of breast enlargement and skin redundancy. The liposuction pull-through technique has been proposed as an efficacious treatment for many gynecomastia cases. This work aims to study the outcome of this techniqu...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-016-0749-z

    authors: Khalil AA,Ibrahim A,Afifi AM

    更新日期:2017-04-01 00:00:00

  • New Insights into the Three-Dimensional Anatomy of the Facial Mimetic Muscles Related to the Nasolabial Fold: An Iodine Staining Technique Based on Nano-computed Tomography.

    abstract:PURPOSE:This study aimed to introduce a novel approach to study the facial mimetic muscles (FMMs) in relation to the nasolabial fold (NLF) and realize the visualization of complex three-dimensional (3D) structures and spatial relationships of the FMMs. MATERIALS AND METHODS:Nano-computed tomography (nano-CT) and iodin...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-019-01495-2

    authors: Chen GC,Sun M,Yin NB

    更新日期:2020-02-01 00:00:00

  • Patchy areolar hyperpigmentation 6 years after augmentation mastopexy: a case report.

    abstract:UNLABELLED:A 42-year-old primigravida woman of 20 weeks gestation was referred to the authors for the treatment of a suspected malignant melanoma of her left areola. She had undergone bilateral augmentation mammoplasty with periareolar mastopexy elsewhere 6 years previously. Her history included partial necrosis of her...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-013-0075-7

    authors: Bracaglia R,Tambasco D,Gentileschi S,D'Ettorre M

    更新日期:2013-04-01 00:00:00

  • Avoiding Psychological Pitfalls in Aesthetic Medical Procedures.

    abstract:OBJECTIVE:To assess the prevalence of body dysmorphic disorder (BDD) in an aesthetic surgery setting in the region of Southwest China, and to ascertain the differences in terms of body images between patients in the aesthetic setting and general Chinese population. This study tracked patient satisfaction with their bod...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-016-0715-9

    authors: Wang Q,Cao C,Guo R,Li X,Lu L,Wang W,Li S

    更新日期:2016-12-01 00:00:00

  • Reversal of Post-filler Vision Loss and Skin Ischaemia with High-Dose Pulsed Hyaluronidase Injections.

    abstract::Nose filler injections are very popular in many Asian countries to improve nose shape and projection. However, due to the vascular supply of nose from the ophthalmic artery and its communication with branches of the facial artery in this region, there could be a possibility of ophthalmic complications in case of an ac...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-019-01421-6

    authors: Wibowo A,Kapoor KM,Philipp-Dormston WG

    更新日期:2019-10-01 00:00:00

  • The forehead lift : Some hints to secure better results.

    abstract::The operation for the forehead lift is reviewed considering the experience acquired in recent years in order to facilitate its safe execution. Particular attention is given to the removal of factors limiting the free upward movement of the frontal flap, such as preparation of the meso temporalis. The treatment of the ...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/BF01570258

    authors: Marino H

    更新日期:1976-12-01 00:00:00

  • Asymmetry of the breast: some uncommon cases.

    abstract::The incidence of breast asymmetry is not well known. A review of 500 mastoplasties showed that we have treated 26 cases (5.2%) of significant asymmetry. Most of the uneven breasts are rather common cases and can be corrected with routine techniques of reduction and augmentation mammaplasties. In only a few patients is...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1007/BF00451347

    authors: Gliosci A,Presutti F

    更新日期:1994-10-01 00:00:00

  • Inverted u-shaped purse and rotation flaps: correcting the inferoposterior deformity of reconstructed ears after canaloplasty of the external auditory meatus.

    abstract:BACKGROUND:After patients with congenital microtia receive external ear canal plasty, the mastoid area usually has insufficient space for ear reconstruction. Hence, after ear reconstruction, an inferoposterior position deformity of the ear appears to some extent. Using inverted U-shaped purse and rotation flaps can cor...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-012-9884-3

    authors: Ji C,Zhang J,An G,Liang W,Pan S,Chen Y,Wei Z,Zhang G

    更新日期:2012-06-01 00:00:00

  • Effect of Platelet-Rich Fibrin on Fat Grafting in Animal Models: A Meta-Analysis.

    abstract:BACKGROUND:Autologous fat grafting has been widely used in plastic and reconstructive surgery, but one of the main reasons for limiting its application is the high resorption rate. Platelet-rich fibrin (PRF) is a new generation of platelet concentrate that has recently been used to improve the survival rate of fat graf...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章,meta分析

    doi:10.1007/s00266-019-01563-7

    authors: Liu R,Long Y,Liu L,Zhao X

    更新日期:2020-04-01 00:00:00

  • Otoplasty: shaping the antihelix.

    abstract::In completing a satisfactory repair of the prominent ear, the shape of the antihelical fold is often the key to the aesthetic outcome. Correction involves not just creating a fold in the antihelix but also establishing a smooth sweep or antihelical curve anterior to posterior as well. The essential components describe...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/BF00444251

    authors: Johnson PE

    更新日期:1994-01-01 00:00:00

  • Cell-Assisted Lipotransfer for Cosmetic Breast Augmentation: Supportive Use of Adipose-Derived Stem/Stromal Cells.

    abstract:BACKGROUND:Lipoinjection is a promising treatment but has some problems, such as unpredictability and a low rate of graft survival due to partial necrosis. METHODS:To overcome the problems with lipoinjection, the authors developed a novel strategy known as cellassisted lipotransfer (CAL). In CAL, autologous adiposeder...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-020-01819-7

    authors: Yoshimura K,Sato K,Aoi N,Kurita M,Hirohi T,Harii K

    更新日期:2020-08-01 00:00:00

  • Changes in the Indices of Body Image Concern, Sexual Self-Esteem and Sexual Body Image in Females Undergoing Cosmetic Rhinoplasty: A Single-Group Trial.

    abstract:INTRODUCTION:Psychological factors play a major role in the tendency toward cosmetic surgery. Variety seeking, making changes in one's face and reducing apparent dissatisfaction, improving body image and increasing sexual self-esteem can be considered as some psychological aspects of cosmetic surgery. The present study...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-019-01336-2

    authors: Najjaran Toussi H,Shareh H

    更新日期:2019-06-01 00:00:00

  • Anthropometric Analysis of the Human Skull for Developmental Left-Sided Asymmetry, New Finding.

    abstract:BACKGROUND:Facial and cranial asymmetry is common in bilateral vertebrates, particularly human beings. Through years of injecting fillers and performing face-lift operation on patients, we began to observe that more fillers were required on the right side to reach symmetry and also more loose skin and soft tissue was o...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-019-01526-y

    authors: Kazemi Ashtiani A,Azarbakhsh M,Hafezi F,Naghibzadeh B

    更新日期:2020-02-01 00:00:00

  • Long-term results of suture suspension platysmaplasty for neck rejuvenation: a 13-year follow-up evaluation.

    abstract:BACKGROUND:Neck rejuvenation has been one of the most important components in treatment for the aging face because the neck frequently is the first feature to show signs of aging. Several techniques have been described, but assessment of the long-term effects, although limited, has shown frequent recurrence of neck pto...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-005-0028-x

    authors: Giampapa V,Bitzos I,Ramirez O,Granick M

    更新日期:2005-09-01 00:00:00

  • Vertical reduction mammaplasty.

    abstract::The patients seeking our help for breast reduction are very often young and probably planning to have children later in their lives. Therefore it is most important to offer them a method of reduction mammaplasty that leaves as little scars and as much physiological function as possible. The vertical reduction mammapla...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00266-003-2094-2

    authors: Poëll JG

    更新日期:2004-03-01 00:00:00

  • Shouldn't Propranolol Be Used to Treat All Haemangiomas?

    abstract:INTRODUCTION:Infantile haemangioma is the most common childhood tumour. These tumours can cause significant functional and cosmetic problems. While there are many treatment modalities, propranolol is increasingly being recognised as the first-line treatment of problematic haemangiomas. This study investigates the use o...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-015-0557-x

    authors: Moodley ST,Hudson DA,Adams S,Adams KG

    更新日期:2015-12-01 00:00:00

  • Ultrasonic liposuction versus surgical lipectomy.

    abstract::Obesity is a serious problem in our century. Nowadays, the incidence of obesity has been increased to 35%. Two common methods for surgical treatment of obesity are surgical lipectomy and ultrasound-assisted liposuction (UAL). This study included 40 patients in two groups, 20 patients in the surgical lipectomy group an...

    journal_title:Aesthetic plastic surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s00266-003-0085-y

    authors: Omranifard M

    更新日期:2003-03-01 00:00:00

  • Hemostatic net in rhytidoplasty: an efficient and safe method for preventing hematoma in 405 consecutive patients.

    abstract:BACKGROUND:Hematoma is the most common postoperative complication of rhytidoplasty, resulting in higher morbidity and longer recovery. Quilting suture for closure of the undermined area in abdominoplasty avoids the occurrence of seroma. Based on this principle and with the objective of reducing the number of patients w...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-013-0202-5

    authors: Auersvald A,Auersvald LA

    更新日期:2014-02-01 00:00:00

  • Three-dimensional analysis of forehead wrinkles.

    abstract::It is important to understand the anatomical characteristics of forehead wrinkles in order to perform a forehead lift. This study aimed to elucidate the mutual relationships among tissues composing the forehead using computer software that enables the stereoscopic observation of the tissues studied in arbitrary direct...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-001-0041-7

    authors: Nemoto M,Uchinuma E,Yamashina S

    更新日期:2002-01-01 00:00:00

  • The management of ala ptosis in Oriental rhinoplasty.

    abstract::We use the term ala ptosis to describe a condition in which the nostril sidewall is bulbous with overhanging of the alar margin. This hides the columella from view, especially in profile. The management of ala ptosis in Oriental rhinoplasty is done in two steps, i.e., to reduce the bulbous nostril sidewall by manipula...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/BF01575261

    authors: Boo-Chai K

    更新日期:1986-01-01 00:00:00